NHS winter 'crisis'

Discussion in 'Current Events' started by Damien, Jan 3, 2018.

  1. Jan 3, 2018
    #41

    golden_blunder I hate football. Getting grumpier by the second Staff

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    I have empathy but look my old mother has early onset dimentia and she never misses an appointment because they are either pinned up on the wall or written in a calendar
  2. Jan 3, 2018
    #42

    esmufc07 Elvis has theft the building Scout

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    Plenty of reasons why people may miss an appointment. Charging for missed appointments will affect only the most vulnerable, so I think it would be a bad idea.
  3. Jan 3, 2018
    #43

    JustAFan The Adebayo Akinfenwa of football photoshoppers

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    No I make them all the time and am responsible for the mistake I make. Nothing wrong with expecting that from adults who do not have any other conditions that affect their memory or abilities.

    My doc has a missed appointment fee, they send you a text 48 hrs before and call you the day before. They are also understanding if things (real things that are out of your control) come up, all you have to do is pick up the phone and let them know. If you just do not show up because you can't be bothered or just forgot, well too bad for you.

    Really don't understand why expecting adults to take on adult responsibilities is such a problem.
  4. Jan 3, 2018
    #44

    Mozza It’s Carrick you know

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    'If she can do it why can't they' isn't a valid argument. Pinned on a wall or written on a calendar by whom? What kind of support does she receive to get to her appointments?
  5. Jan 3, 2018
    #45

    Mozza It’s Carrick you know

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    Because mistakes happen and you'd punish people who often have very little
  6. Jan 3, 2018
    #46

    Ayush_reddevil Full Member

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    I came to the UK to work in the NHS 2 months back and I have to say that it has been a real eye opening experience and sadly not in a positive sense. What's going on right now is just not sustainable and unless something drastic happens things are only going to become worse
  7. Jan 3, 2018
    #47

    Mozza It’s Carrick you know

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    If someone can't afford to pay are you going to send the baliffs round?

    That'll turn a £10 bill into £100 bill
  8. Jan 3, 2018
    #48

    Ramshock The spacegoats did it

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    Mozza, not everyone who misses appointments will have memory problems. It will cut down a huge amount of waste and time loss. Its a very simple idea and everyone has a way of being notified. They even ring you a day or two before ffs.
  9. Jan 3, 2018
    #49

    Ayush_reddevil Full Member

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    As someone new to the system this has been my observation as well, 80-90% of our patients are 70+ and of course you have to care for the elderly but it it is just putting an insane amount of stress on the system
  10. Jan 3, 2018
    #50

    Ramshock The spacegoats did it

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    Direct debit. If they cant afford to pay they will make sure to attend or call the clinic. People are not that stupid.
  11. Jan 3, 2018
    #51

    Ramshock The spacegoats did it

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    Exactly Geebs, Im as liberal as the next one on here and not for anyone paying for health care but this is to save the NHS not to punish people I wish @Mozza would see that.
  12. Jan 3, 2018
    #52

    JustAFan The Adebayo Akinfenwa of football photoshoppers

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    Mistakes happen, and when you make them you need to be responsible for them. Unless I have already pointed out there are extenuating circumstances (IE real issues that cause you to miss an appointment not just being shit at life and forgetting).

    And missed appointments can punish people who are actually sick and can't get in to see a Doc, but I guess that is okay with you.
  13. Jan 3, 2018
    #53

    Ramshock The spacegoats did it

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    Thats basically the issue
  14. Jan 3, 2018
    #54

    Mozza It’s Carrick you know

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    16 million adults with less than £100 in savings. You'll need a system of payment and one of recovery if payment isn't made
  15. Jan 3, 2018
    #55

    Mozza It’s Carrick you know

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    Direct debit requires a payment system, record keeping and recovery mechanism if the debit bounces
  16. Jan 3, 2018
    #56

    Ramshock The spacegoats did it

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    Mozza its a fecking phone call or walk into the clinic, they even call you the day before to make sure. There is no excuse.
  17. Jan 3, 2018
    #57

    Ramshock The spacegoats did it

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    He clearly doesnt give a shit
  18. Jan 3, 2018
    #58

    JustAFan The Adebayo Akinfenwa of football photoshoppers

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    I once, I say ONCE, forgot my wife's birthday. Well did not really forget, just failed to realize that the date had already arrived. Nobody's fault but my own, I was 25 at the time, an adult who should have done better. I paid for that mistake, let me tell you. My own fault though.
  19. Jan 3, 2018
    #59

    JustAFan The Adebayo Akinfenwa of football photoshoppers

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    That's too much to expect from an adult I guess.
  20. Jan 3, 2018
    #60

    SteveJ all-round nice guy, aka Uncle Joe Kardashian Scout

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    Just out of interest, from where did the Government get that one billion pounds that was given to the DUP?
  21. Jan 3, 2018
    #61

    Mozza It’s Carrick you know

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    You'll need a dispute resolution mechanism to prove someone missed an appointment for a good reason and not a bad one. Do you take a person at their word or do you presume guilt unless they can prove otherwise? If they plead povertyhow much proof would they need to bring?
  22. Jan 3, 2018
    #62

    Ramshock The spacegoats did it

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    :lol: finally someone asks that question
  23. Jan 3, 2018
    #63

    Ramshock The spacegoats did it

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    You incapable of understanding that people can call or walk in? You ignoring me telling you clinics call you to confirm the day before?
  24. Jan 3, 2018
    #64

    Hernandez - BFA The Way to Fly

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    I'm working in A&E at the moment.

    It's fecking mayhem. It's not safe. I have to examine patients with 20 eyes on the patient because there's no cover.

    It's in a rut. What's worse is that half the people don't even need to be there.

    You have no idea how many times the elderly get dropped off by their selfish families over Christmas because they are unable to cope at home. People treat hospitals like a free care home around these times.
  25. Jan 3, 2018
    #65

    Mozza It’s Carrick you know

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    What if something else comes up, family emergency, kids sick. Phone got nicked.

    How will you collect payment and if you can't do you get ballifs involved?
  26. Jan 3, 2018
    #66

    Mozza It’s Carrick you know

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    I understand but if they don't call and they can't afford the £10 what are you going to do for payment and will you get the baliffs involved?
  27. Jan 3, 2018
    #67

    Silva Full Member

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    People miss outpatient appointments, not A&E visits and operations. Fining people for missing appointments, even if it improves the attendance rate, does nothing to alleviate the major problems highlighted here.
  28. Jan 3, 2018
    #68

    Ramshock The spacegoats did it

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    Mozza you are being obtuse and ridiculous. So feck the other patients who needed that appointment yes? Stop worrying about payment mechanisms and worry about how easy it is to contact the clinic to say you cant make it. It would literally save the NHS with that.
  29. Jan 3, 2018
    #69

    Ramshock The spacegoats did it

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    They would have to pay on next visit.
  30. Jan 3, 2018
    #70

    Mozza It’s Carrick you know

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    Your simple solution isn't.

    It really wouldn't save the NHS, lack of social care for the elderly is what's killing the NHS, not missed appointments
  31. Jan 3, 2018
    #71

    Mozza It’s Carrick you know

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    What if they are sick but can't afford to pay, no treatment for them?
  32. Jan 3, 2018
    #72

    Ramshock The spacegoats did it

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    Missed appointments cost a lot of time and money it would help
  33. Jan 3, 2018
    #73

    Silva Full Member

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    It's a massive exaggeration saying it would save the NHS. It would cause a minor increase in the attendance rate, and put some people off appointments. It would have a minor effect on a wellbeing of the NHS and a major effect on people with anxiety disorders or who otherwise don't want to be a burden.
  34. Jan 3, 2018
    #74

    Nick 0208 Ldn News 24

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    Hospital appointments aren't like a trip to the shop round the corner, they often require planning and take up hours of your day. The NHS also sends out a reminder by text as others have alluded to.

    Because people see the NHS as a free service, it's a case of no harm no foul from their PoV. A cancellation fee or initial charge would encourage people to take puncuality and attendance seriously. What we have instead is wasted time on the part of staff and slots which could be taken up by other patients.
  35. Jan 3, 2018
    #75

    Silva Full Member

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    The attitude towards patients should be "please come, we want you to be healthy" not "you're a fecking burden, feck off"
  36. Jan 3, 2018
    #76

    Ramshock The spacegoats did it

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    They can afford to send a text or a phone call. Not buying your bull shit argument.
  37. Jan 3, 2018
    #77

    Mozza It’s Carrick you know

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    Sure, but is it cost effective?
  38. Jan 3, 2018
    #78

    Ramshock The spacegoats did it

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    Okay it wont save but it will fecking help
  39. Jan 3, 2018
    #79

    Ramshock The spacegoats did it

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    Yes it saves time and money. Mozza you have serious priority issues.
  40. Jan 3, 2018
    #80

    Mozza It’s Carrick you know

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    But we are back to mistakes happen